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General NPI Number Information
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NPI Number | 1821073719
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Entity Type | Individual
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Provider Name | LEONARD ANDREW FICHTER DO
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 11501 HUTCHISON BLVD STE 109
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-3747
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Country | US
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Telephone | 850-250-1311
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Fax | 850-250-3589
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Provider Business Mailing Address
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Address Line | 22207 FOX GLENN TRCE
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-8413
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Country | US
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Telephone | 304-545-7444
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS15559
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | OS15559
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License Number State | FL
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